Mandibular Reconstruction

A comprehensive atlas describing the surgical options for reconstructing the mandible.

This atlas deals with the standard technique used for reconstructing the mandible and the maxilla - the fibula flap. The reader will find useful information on all issues that are important in the surgical procedure, including the use of CAD-CAM technology (Computer Assisted Technology), bone synthesis and flap modelling. The editors draw on their 30 years of experience to provide a step-by-step description of this surgical procedure. With the help of numerous illustrations, the reader will learn the technical, functional and aesthetic developments since 1989 when this technique was first described. Plastic surgeons, otorhinolaryngologists and oral- and maxillofacial surgeons will find this book a valuable guide to the sophisticated principles of jaw reconstruction and how to apply them in their everyday practice.

This book is designed as a comprehensive and up-to-date instructional guide to the strategies employed for regeneration of the maxillomandibular region, with emphasis on allogeneic and tissue engineering principles. Readers will find information on indications and contraindications for procedures, pertinent anatomy, surgical techniques, postoperative management, and management of complications. Current surgical techniques utilizing biotechnology for regeneration and reconstruction are described in depth, with explanation of their benefits in minimizing patient morbidity. In addition, state of the art free vascular transfer for maxillary and mandibular reconstruction is extensively discussed, with a particular focus on indications and step-by-step technique. The authors are well-known experts in their field who are keen to share their extensive experience and preferred approaches. The book is intended for all oral and maxillofacial surgeons, head and neck surgeons, and plastic and reconstruction surgeons who wish to increase their knowledge on the latest modalities of maxillary and mandibular reconstruction.

Since 1958 the Association for the Study of Internal Fixation (ASIF) has worked to establish the experimental and biomechanical prin ciples of the operative treatment of fractures. It has been proven that immediate, pain-free mobilization, made possible by stable internal fixation, is the key to restoring function in a fractured extremity. The same principles were applied in 1972173 by Roland Schmoker, who developed a universal plate and sophisticated instrument set designed initially for the treatment of comminuted fractures of the mandible. To extend the applications of his plate to reconstructions after ex tensive tumor resections, he supplemented the device with tem poromandibular joint prostheses and anchoring elements for the at tachment of dentures. He first tested the functional stability of these implants experimentally in sheep. Later he found that the minipig had a more human-like jaw shape and masticatory action, and so he tested the implants in 37 mini pigs that underwent extensive mandibular re sections without bone grafting, using sequential dye injections and postoperative weight gain to chart the progress of osseous regener ation. Seven other animals were not operated and served as controls.

Guest editors Tirbod Fattahi and Rui Fernandes present the latest information on mandibular reconstruction. Each article is highly illustrated and will demonstrate surgical techniques of the following: iliac crest, costochondral graft, fibula free flap, DCIA free flap, and pectoralis major flap. A chapter on surgical anatomy is also included.

In this issue, guest editors bring their considerable expertise to this important topic. Provides in-depth reviews on the latest updates in the field, providing actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create these timely topic-based reviews.

Reconstruction of mandibular defects after trauma or tumor resection is one of the most challenging problems facing reconstructive surgeons. Defects created in the mandible and midface after ablative procedures for neoplasia or traumatic injuries are often functionally and esthetically debilitating for the patient. Resection without bony reconstruction results in highly visible and often incapacitating deformities. The goal of reconstructive surgery in these cases is to replace the bone and soft tissue components of the defect in a way that approximates the normal facial structure as closely as possible.

Since 1958 the Association for the Study of Internal Fixation (ASIF) has worked to establish the experimental and biomechanical prin ciples of the operative treatment of fractures. It has been proven that immediate, pain-free mobilization, made possible by stable internal fixation, is the key to restoring function in a fractured extremity. The same principles were applied in 1972173 by Roland Schmoker, who developed a universal plate and sophisticated instrument set designed initially for the treatment of comminuted fractures of the mandible. To extend the applications of his plate to reconstructions after ex tensive tumor resections, he supplemented the device with tem poromandibular joint prostheses and anchoring elements for the at tachment of dentures. He first tested the functional stability of these implants experimentally in sheep. Later he found that the minipig had a more human-like jaw shape and masticatory action, and so he tested the implants in 37 mini pigs that underwent extensive mandibular re sections without bone grafting, using sequential dye injections and postoperative weight gain to chart the progress of osseous regener ation. Seven other animals were not operated and served as controls.